NEED HISTORY:
poor historian, prior surgery in another country, many scars on left, complaint of pain along scars
(TRAM reconstruction after left mastectomy)
What imaging would you do?
A-mammography
B-Breast MRI
C-breast US
D-none
set up each as a link with answer C correct
D-none
No, her situation is complex and warrants imaging.
A-unilateral mammogram is indicated if she has not had one in a year, as we do not routinely image the reconstructed breast using mammography, but there is no reason to do a bilateral mammogram
B-breast MR
No, this is probably not indicated as an initial study, but may be used in problem solving.
C-Breast US
Yes, this is a good way to begin the evaluation of her focal pain, but imaging may be hampered by the presence of scars, which can block the sound beam and mimic masses.
SURGERY CASE 2